Q:

A 32 year old female who has had 3 previous miscarriages in the 1st trimester now comes with vaginal bleeding at 8wks. US (ultrasound) reveals a viable fetus. What would be the most appropriate definitive management?

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A 32 year old female who has had 3 previous miscarriages in the 1st trimester now

comes with vaginal bleeding at 8wks. US (ultrasound) reveals a viable fetus. What

would be the most appropriate definitive management?


  1. Admit
  2. Aspirin
  3. Bed rest 2 weeks
  4. Cervical cerclage
  5. No tx

All Answers

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The key is B. Aspirin. [Early miscarriage is more common in antiphospholipid syndrome and treated

with heparin or aspirin when become pregnant].

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